UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in ...

Other “telltale warning signs” of a Medicare scam include being told you are eligible for a refund because of a change in ...

A new AI tool is being tested in Oklahoma to process prior authorizations in Medicare. These Oklahomans say they're worried.

The Centers for Medicare & Medicaid Services has released a request for information seeking input on replacing its Medicare ...

Dear Savvy Senior, What steps do I need to take to appeal a denied Medicare claim? Dear Frustrated, If you disagree with a ...

Usually, a person or their healthcare professional must file a claim within a year of the person receiving care, but certain situations may extend timely filing. If Medicare rejects the claim, a ...

I recently enrolled in Medicare. This week, I went to see my primary care doctor and his office manager informed me that they ...

The federal government and a number of hospitals may want to transition to a new Medicare reimbursement model. But there are still billions of dollars in disputed fee-for-service claims waiting to ...